SAEVA Proceedings 2016 | Page 86

  PGF2a The most common clinical use of PGF2a (analogues) in mares is to induce luteolysis, e.g. to advance or synchronize oestrus, to remove a persistent corporus luteum or to terminate pregnancy. More recently, PGF2a has become popular for stimulating uterine fluid evacuation, although it is not recommended to use it after ovulation has occurred since it will compromise luteal function and, if repeated, may comcpromise pregnancy maitenance. The most common PGF2a products used are: natural P GF2a (10mg Lutalyse ), cloprostenol (e.g. 250-375ug Estrumate ) or luprostiol (e.g. 7.5mg Prosolvin ). Side effects (e.g. sweating and/or abdominal cramp) are most pronounced for Lutalyse and least for Prosolvin . Large doses of PGF2a analogues (2-4 times normal dose) appear to be useful in stimulating maternal behavior in mares induced to lactate by use of dopamine antagonists such as domperiodone or sulpiride, or in mares that are reluctant to accept their own foals. ® ® ® ® ® Prostaglandin E Local application of prostaglandin E2 (Dinoprostone) or E1 (Misoprostol) is claimed to promote cervical relaxation in mares. PGE2 has been used to assist cervical dilation during (induced) parturition. PGE1 has primarily been reported for relaxing the cervix in older maiden mares that pool uterine fluid after breeding. Application of PGE2 to the oviducts has recently been described as a way of treating suspected oviductal obstruction (Allen et al, 2006). Oxytocin The most common clinical uses of oxytocin are uterine fluid evacuation, induction of parturition and expulsion of retained fetal membranes. For uterine clearance, doses of 10-20 IU administered 1-4 times daily are usually preferred. Oxytocin is the drug of choice for inducing parturition. Delivery of the fetus usually occurs within 30-60 min and, while different administration regimes are described, around 5 IU is sufficient when there are clear signs of ‘fetal readiness for birth’ (i.e. mammary secretion [Ca2+] > 7.5 m/mol or 250 ppm, [K+] > [Na+] or pH < 6.4). When parturition is induced prematurely, higher and/or repeated doses (e.g. 20 IU) may be required. Retention of the fetal membranes is a common, serious postpartum problem in the mare, predisposed to by dystocia, prolonged gestation, hydrops, caesarean section and induced parturition. Retention of the membranes beyond 3 h postpartum is considered pathological. Complications associated with retained fetal membranes include metritis, laminitis, septicemia and death. Oxytocin may be given every 1-2 h starting 2-3 h after foaling. Doses of 20 IU are commonly used, but should be reduced if the mare shows signs of colic; slow intravenous infusion of higher doses (e.g. 40 IU over 30-60 min) has also been described. 15-­‐18  February  2016      East  London  Convention  Centre,  East  London,  South  Africa     85